Organization
THERAPEUTIC SOLUTIONS AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE FULLER (CEO/LPC)
(910) 916-6657
Entity
Organization
Contact information
Practice address
105 PERSON ST STE B, FAYETTEVILLE, NC 28301-5721
(910) 916-6657
(910) 920-2420
Mailing address
PO BOX 36232, FAYETTEVILLE, NC 28303-1232
(910) 916-6657
(910) 920-2420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7940
NC
101YM0800X
Mental Health Counselor
7940
NC
101YP2500X
Professional Counselor
7940
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104512
—
NC
Enumeration date
03/20/2013
Last updated
01/08/2021
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